NORTHWESTERN RI IMAGING CENTER, LLC; NPI #1881647238

Contact Information

NORTHWESTERN RI IMAGING CENTER, LLC

1526 ATWOOD AVE
JOHNSTON, RI 02919-3289

Phone: 401-331-0900
Fax: 401-455-0909
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Radiology	261QR0200X	74	Radiation Therapy Center
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Magnetic Resonance Imaging (MRI)	261QM1200X

Indicates primary specialty

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NPI Profile & details for NORTHWESTERN RI IMAGING CENTER, LLC

NPI Number 1881647238

LBN Legal business name NORTHWESTERN RI IMAGING CENTER, LLC

Authorized official ROBERT SANTAMARIA - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2006

Last updated 03/31/2008 - About 18 years ago

Identifiers

RI	License #	ACF01564
RI	Medicaid	NW46602

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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